MEDICARE: SEARCH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1104109255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEARCH, INC.

Provider Business Mailing Address
First Line	:	1925 N CLYBOURN AVE
Second Line	:	SUITE 200
City	:	CHICAGO
State	:	IL
Zip	:	60614-4946
Country	:	US
Telephone Number	:	773-305-5000
Fax Number	:	773-305-5739

Provider Business Practice Location Address
First Line	:	1925 N CLYBOURN AVE
Second Line	:	SUITE 200
City	:	CHICAGO
State	:	IL
Zip	:	60614-4946
Country	:	US
Telephone Number	:	773-305-5000
Fax Number	:	773-305-5739

Authorized Official
Title or Position	:	INTAKE MANAGER
Name	:	MS. JESSICA CLAIRE LEIGHTON
Credential	:	MSW
Telephone Number	:	847-789-7155

Provider Enumeration Date	:	09/26/2011
Last Update Date	:	09/26/2011

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